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Medicare overbilling oxygen

Lincare Holdings to Pay $29 Million for Medicare Overbilling

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In Billing
Sep 20th, 2023
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Florida-based company admits to improper billing for oxygen equipment. Lincare Holdings, Inc., a Florida-based, wholly owned subsidiary of German multinational chemical corporation Linde plc, has agreed to pay $29 million and perform extensive corrective actions to resolve allegations that it fraudulently overbilled Medicare and Medicare Advantage (MA) plans for oxygen equipment. Lincare provides o...
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audit incident-to services

A New Way to Audit Incident-to Services

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In Audit
Sep 1st, 2023
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Proper documentation and accurate billing are essential aspects of healthcare compliance. The Centers for Medicare & Medicaid Services (CMS) sets guidelines and regulations to ensure adherence to reimbursement rules for incident-to services. Some of CMS’ rules center around practices that employ advanced practice providers (APPs). When auditing medical records, it’s crucial to understand and a...
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Medical record access

When Patients Understand Their Medical Record

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In Compliance
Sep 1st, 2023
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Quality care cannot be achieved if your patient portal creates a barrier. The 21st Century Cures Act requires healthcare providers to give patients access to their medical records upon request. Providers and facilities have been so focused on complying with this law, however, they may not have considered the repercussions: Patient comprehension of the information ...
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Compliance program

AAPC & AHLA Collaborative Compliance Conference Comes to a Close

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In AAPC News
Aug 30th, 2023
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Compliance professionals gathered virtually for two days of education. AAPC and the American Health Law Association (AHLA) once again partnered to deliver a conference focused solely on healthcare compliance. For two days, Aug. 29-30, attendees gained insight and guidance on compliance topics including medical necessity, telehealth beyond the pandemic, creating effective compliance plans, HIPAA pr...
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OIG UIP Audit

OIG Finds Distribution of UIP Funds Did Not Comply With Federal Requirements

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In Audit
Aug 17th, 2023
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Uninsured program payments were made to providers for patients who had health insurance and for services unrelated to COVID-19. In July 2023, the Office of Inspector General (OIG) released the results of its audit of the oversight and management of the COVID-19 Uninsured Program (UIP). The UIP was created as part of a series of ...
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